Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Carlos Enrique Ballestas, MD

Individual provider Family Medicine Physician · NPI 1609812437

Dr. Carlos Enrique Ballestas, MD is a Family Practice in Sunrise, Florida. Qualified in 1999, 27 years ago. Practices with East Florida Primary Care LLC, a 4-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida and Texas.

Years since qualifying
27
Licensed in
FL, TX
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

12651 W Sunrise Blvd Ste 202
Sunrise, FL 33323-0906
Phone: (954) 838-8801
Fax: (954) 838-8807
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME110974 (FL)
Family Medicine Physician Taxonomy 207Q00000X · Licence M2549 (TX)

Record details

NPI number1609812437
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 21, 2006
Last updated in NPPESFebruary 10, 2022
Certification dateNovember 6, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Also practisesGERIATRIC MEDICINE
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice East Florida Primary Care Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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